Provider Demographics
NPI:1235896903
Name:VERHOEVEN, HANNA EVELYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:EVELYN
Last Name:VERHOEVEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E 88TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7793
Mailing Address - Country:US
Mailing Address - Phone:518-207-5677
Mailing Address - Fax:
Practice Address - Street 1:79 WALKER ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3981
Practice Address - Country:US
Practice Address - Phone:212-337-3565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024643103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist